Your success is dramatically impacted by how well you measure, improve, and report the quality of member care while complying with complex regulatory changes, and managing costs.
We offer a variety of quality management software and services designed to help you balance the complexities and costs associated with administration, regulatory compliance, and member care management.
What you get:
- Standardized reporting and intervention capabilities help meet HEDIS and CMS Star ratings requirements.
- Continuous analysis of member, provider, pharmacy, medical, and lab data to identify change in risk.
- Technology and business environment consulting and implementation expertise.
- Cost containment opportunities through appropriate management of specialty services vendors.
Return to Key Offerings.